Mollie Broering, PHARMD
Individual provider Active NPI Pharmacist · Alexandria, KY
NPI 1396347258 · NPPES record last updated Nov 14, 2020
Key facts
- NPI
- 1396347258
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 12957 (KY)
- Practice address
- 7857 Alexandria Pike
Alexandria, KY 41001-1099 - Phone
- (859) 635-2171
- Fax
- (859) 635-3831
- NPI assigned
- Nov 14, 2020
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12957 | KY | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 12957 | KY | Yes |
Addresses
Primary practice location
7857 Alexandria Pike
Alexandria, KY 41001-1099
Mailing address
7857 Alexandria Pike
Alexandria, KY 41001-1099
Phone (859) 635-2171
Other providers in Alexandria, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 14, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.